| NPI | 1720193642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 40505) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO R8838) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R8838) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-09-08 |